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Transporta)onataCrossroads: Intersec)ngwithHealthandEquity November2011 MontanaTrainingSession EloisaRaynault Transporta;on,HealthandEquityProgramManager


  1. Transporta)on
at
a
Crossroads:
 Intersec)ng
with
Health
and
Equity
 November
2011
 Montana
Training
Session
 Eloisa
Raynault
 Transporta;on,
Health
and
Equity
Program
Manager
 American
Public
Health
Associa;on


  2. How
Transporta)on
Policy
Impacts
Health
 Source:
Hidden
Health
Costs
of
Transporta)on,
Urban
Design
4
Health,
Inc.
and
APHA.


  3. Health
Leaders’
Concerns
  Traffic
injuries
and
fatali)es:
 $200B


  Obesity/overweight:
 $117B
  Physical
inac)vity:
 $76B 

  Poor
air
quality:
 $40‐$64B 

  TOTAL:
$457B
  Plus…exacerba)ng
poverty
and
 health
inequi)es
in
our
communi)es


  4. Four
Key
Areas:
 Obesity

 Safety
 Air
Quality
 Equity
and
Access


  5. Obesity
and
Physical
Inac;vity
  Opportuni)es
to
be
physically
ac)ve
have
been
removed
from
daily
life
  Each
hour
spent
in
the
car
increases
the
risk
of
obesity
by
 6%
  If
every
licensed
driver
reduced
their
travel
by
one
mile
per
day,
in
six
years
 the
adult
obesity
rate
would
be
2.16
percent
lower…so
 5
million
 fewer
adults
 would
be
classified
as
obese


  6. Safety

  Motor
vehicle
crashes
=
 leading
 cause
of
death
among
persons
1‐24
years
old
  32,788
deaths
(2010),
declining
but
unacceptably
high
  SAFETY
FOR
OLDER
ADULTS:
4,092
pedestrians
were
killed
in
traffic
crashes
 (2009);
16%
of
those
were
65+
=
 654
killed
  SAFETY
FOR
KIDS:
490
children
injured
daily
in
motor
vehicle
crashes
(2009)
 Photos
by
Dan
Burden,
PBIC


  7. Air
Quality
  Kids
who
afend
school
near
 highways
have
higher
incidence
 of
respiratory
problems
  Communi)es
near
highways
 have
a
dispropor)onate
rate
of
 lung
cancer
  Exposure
to
traffic‐related
air
 pollutants
is
associated
with
a
 30
percent
greater
risk
of
 premature
birth


  8. Equity
and
Access
  Nearly
1/3
of
people
living
in
this
country
 cannot
access
OR
afford
to
access
basic
needs
  Poorest
5 th 
of
US
families
pay
42%
of
their
 income
to
own
and
drive
a
car

  Low‐income
neighborhoods
oien
lack
safe
 places
to
walk,
bike
or
play


  9. Opportuni)es
  Shii
from
a
model
that
mainly
 moves
cars
 to
a
model
 that
 moves
people
 through
a
safe,
accessible,
affordable
 and
efficient
system
for
everyone:

  More
mass
transit
including
rail,
light
rail
and
bus
  Safe
Routes
to
School
  Complete
the
Streets
  Ac)ve
Transporta)on
  Invest
in
Safety
  Incorporate
Health
Impact
Assessments
(HIAs) 


  10. New
Research
and
Press 


  11. More!
Oct‐Nov
2011
only… 


  12. Transporta;on
Changes
Have
Health
Impacts
 New TRB Health and Transportation Subcommittee: www.trbhealth.org

  13. APHA’s
Free
Resources
  apha.org/transportation
  Factsheets
  Reports
  Webinars

  eNewsletter
  Case
studies


  14. Eloisa
Raynault
 eloisa.raynault@apha.org
 Phone:
(202)
777‐2742 
 Protect,
Prevent,
Live
Well


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